<div class="form-group col-lg-12 col-md-12 col-sm-12 col-xs-12" id="form_group_{$form.name}">
    <div class="col-xs-12 label-title" for="{$form.name}">{$form.title|htmlspecialchars}</div>
    <div class="col-sm-12  js-mobile" data-url="{$form.url|default=''|raw}" data-scene="{$form.scene|default='0'|raw}">
        <input class="mobile-self" type="hidden" id="{$form.name}" name="{$form.name}" value="{$form.value|default=''|raw}"  {$form.attr|default=''|raw}/>
        <div class="input-group">
         <span class="input-group-addon"  style="padding:0;border:none;text-align:left">
             <div style="width:200px">
             <select class="mobile-prefix select2"  >
             </select>        
            </div>             
          </span>
           <input class="form-control mobile-end" type="text"  value="" placeholder="{$form.placeholder|default=lang('请输入').$form.title}">
        </div>     
        {notempty name="form.tips"}
        <div class="help-block">{$form.tips|raw}</div>
        {/notempty}
    </div>
</div>